Background Ever since my very first day on the job as a hospital pharmacist, I have placed a “C” using a blue Sharpie on every single label that I have ever checked. While the “C” stands for Chuck, there’s no good explanation as to why this seemingly insignificant little marker chose me. I guess the [...][Continue Reading...]

The following post was written by Karen Yakabosky, Pharm D, a Clinical Specialist in Pediatrics Pharmacy at Reading Health System. Her experience led directly to the development of the NICU Emergency Medication Calculator for RxTOOLKIT. It has proved to be an invaluable patient safety tool now in use at her organization. Near Miss: I uncovered [...][Continue Reading...]

MEDICATION ERRORS “A Pharmacist’s Tale” I was working at the hospital last night and caught a “near-miss… The physician ordered a 4000 unit bolus dose of heparin. The technician prepared and brought me the 4 mL labeled syringe along with the vial of heparin to check. I realized the vial he used was a concentration [...][Continue Reading...]

About 6 years ago I was working as the IV pharmacist on second shift and I was presented with a large number of IV’s to check prior to delivery. The IV delivery to the nursing units was already late and I felt the pressure to get the IV’s checked as fast as possible. I was checking [...][Continue Reading...]

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